Provider Demographics
NPI:1235653189
Name:FERATOVIC, LAURA BEATRIZ (AGPCNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:BEATRIZ
Last Name:FERATOVIC
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 PEARSALL AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-4718
Mailing Address - Country:US
Mailing Address - Phone:551-697-9380
Mailing Address - Fax:
Practice Address - Street 1:525 MONMOUTH ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-1527
Practice Address - Country:US
Practice Address - Phone:201-957-2146
Practice Address - Fax:732-384-2802
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00733700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health